Relationship Based Care

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Relationship Based Care
Stephenie Worrall
Concepts for Professional Nursing
NSG 311
Sue Nichols
Spring 2012

Relationship Based Care
Relationship based care (RBC) is a concept model Memorial Hospital in Colorado Springs has adopted hospital wide. I chose this concept because it is new to the organization and I wanted to gain a better understanding of what exactly RBC is. This paper will provide information about what RBC is, how it works, who it involves and the perceptions of those involved in this health care delivery model. At the conclusion of this paper one should have a basic knowledge of what RBC is and how healthcare delivery can once again be rewarding for the nurse and her colleagues. You will also see how RBC promotes an enhanced healing environment for patients and their families. Where did Relationship Based Care Come From, How is it being used

RBC originates from primary nursing care. In primary nursing the primary nurse is the nurse that oversees a patients care throughout his/her hospital stay or course of treatment. She is responsible for implementing a plan of care individualized for that patient and their needs. The primary nurse is responsible for decision making, allocation of resources for that patient, communicating with other members of the hospital team, such as respiratory therapist or speech therapist, depending on the patient’s needs, and evaluating the patients response to his/her treatment. Primary nursing gives the nurse greater autonomy. Two main characteristics of primary nursing are the nurse’s acceptance of responsibility for the patient and the relationship the nurse builds with the patient, the patient’s family, the doctor and the team members involved in the patient’s treatment plan.

RBC takes the building blocks from primary nursing and combines them with J. Watson’s Theory of Caring, to create a care delivery system that not only addresses the needs of the patient as a whole, mind body and spirit, it promotes healthy relationships among team members patients and their families. Promoting healthy relationships among team members decreases stress in the work place, and gives each team member a feeling of self-worth, they are part of a team, a well-oiled machine that can provide care for a patient and build relationships that promote an all-encompassing healing environment. More autonomy for the nurse gives her the ability to work with in her scope of practice and not feel like a task orientated organizational robot. Managers can act as part of the team rather than the dictator that sits in the office and hands down orders. RBC fosters relationships between the patient, family and all team members, not just the primary nurse and patient. Characteristics of Relationship Based Care

The basis of RBC is that care is centered on the priorities and needs of the patient and family. Care is delivered through relationships with patient, family and team members. This requires trust, respect and collaboration between all those involved. The principles for RBC are: 1.Caring and Healing Practice Environment: involves physical setting, supporting the patient culturally in a nurturing and supportive atmosphere, patient is involved their own care, care is centered on mind, body and spirit 2.Responsibility for Relationship and Decision-Making: the primary nurse accepts the patient and is responsible and accountable for the management of care, associate nurses provide care according to the plan of care 3.Work Allocation and Patient Assignments: the primary nurse has the authority to evaluate and determine the level of care needed, and who within the team is appropriate to deliver care 4.Communication between Members of the Health Care Team: communication between the team members, the patient and there family is facilitated by the primary nurse 5.Management/Leadership: manager promotes autonomy, mentors and inspires staff, leads an environment that will promote...
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